Adult-Gerontology Acute Care Practice Guidelines

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Adult-Gerontology Acute Care Practice Guidelines

Second Edition

Editor

Catherine Harris, PhD, MBA, AG-ACNP

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Description

Praise for the first edition from Doody's Medical Reviews- Score: 93

"This well-developed book provides acute care guidelines for the geriatric population in an easy-to-follow format that uses structural elements such as numbering and multilevel lists for each system. It is an excellent reference for advanced practice prepared clinicians to help identify, diagnose, and develop a treatment plan for acute health issues in older adults and geriatric patients."

-Tho Nguyen, DNP, MSN, RN

Newly updated, this evidence-based resource--the first of its kind--provides NPs, PAs, and other advance practice providers with the essential clinical knowledge they need to effectively practice adult-gerontology acute care. The second edition covers 10 new conditions and delivers numerous clinical updates on drugs, pain management, sedation, nutritional management, and clinical and screening guidelines. Along with relevant information on Covid-19, it examines more acid-base and neurological disorders and explains the use of Point of Care Ultrasound (POCUS). New unfolding case scenarios include questions to reinforce knowledge, and step-by-step procedural videos provide clear, detailed guidance. The addition of a section on Billing provides clinicians with a working understanding of this process.

In quick reference format, this system-based text describes more than 100 common conditions health providers are likely to see in their acute care practice. With contributions from NPs, PAs, and physicians, it provides expert insight into each condition, enabling readers to categorize symptoms, be alert to the distinguishing features of disease symptoms and clusters, and locate associated diagnoses. This handy text also includes perioperative considerations, discharge guidelines, treatment and disease management algorithms, and procedural guidelines. Numerous clinical updates and clinical scenarios incorporated throughout the text validate knowledge and competency. Purchase includes digital access for use on most mobile devices or computers.

New to the Second Edition:

Provides updated information on drugs, pain management, moderate sedation, nutritional management, and clinical and screening guidelines
Addresses new conditions
Offers current information on Covid-19
Includes additional acid-base and neurological disorders
Covers Point of Care Ultrasound (POCUS)
Provides brief, unfolding case scenarios with questions to reinforce knowledge
Addresses the basics of Billing
Delivers NEW, step-by-step procedural videos demonstrating arterial line placement, digital nerve blocks, and lumbar puncture

Key Features:

Presents key points for more than 100 acute care conditions in quick-reference format
Includes considerations for preoperative, intraoperative, and postoperative evaluation and management
Offers discharge guidelines for inpatient conditions
Disseminates over 20 procedural guidelines such as central and arterial line insertion, bronchoscopy, ECMO, endotracheal intubation, and more

Contents

Contributors

Reviewers

Preface

Acknowledgments

Introduction

List of Videos

SECTION I: ACUTE CARE GUIDELINES BY SYSTEM

Chapter 1. EAR, NOSE, AND THROAT GUIDELINES

Conjunctivitis

Pharyngitis

Rhinosinusitis

Knowledge Check

Chapter 2. PULMONARY GUIDELINES

Acute Respiratory Distress Syndrome

Asthma

Chronic Obstructive Pulmonary Disease

Pleural Effusions

Pneumonia

Pulmonary Embolism

Restrictive Lung Disease

Chapter 3. CARDIAC GUIDELINES

Acute Coronary Syndromes

Angina

Arrhythmias

Dyslipidemia

Heart Failure

Hypertension

Pericardial Effusions

Valvular Heart Disease

Knowledge Check

Chapter 4. GASTROINTESTINAL GUIDELINES

Acute Abdomen

Cirrhosis

Drug-Induced Liver Injury

Hepatitis: Alcoholic

Hepatitis: Autoimmune

Hepatitis A

Hepatitis B

Hepatitis C

Nonalcoholic Fatty Liver Disease

Pancreatitis

Peptic Ulcer Disease

Chapter 5. NEPHROLOGY GUIDELINES

Acute Kidney Injury

Benign Prostatic Hypertrophy

Chronic Kidney Disease

Hematuria

Hypercalcemia

Hyperkalemia

Hypermagnesemia

Hypernatremia

Hyperphosphatemia

Hypocalcemia

Hypokalemia

Hypomagnesemia

Hyponatremia

Hypophosphatemia

Metabolic Acidosis

Nephrolithiasis

Nephrotic Syndrome

Prostatitis

Pyelonephritis

Urinary Incontinence

Urinary Tract Infection

Knowledge Check

Chapter 6. NEUROLOGY GUIDELINES

Anoxic Brain Injury

Brain Death

Headaches

Intracerebral Hemorrhage

Ischemic Stroke

Status Epilepticus

Transient Ischemic Attack

Knowledge Check

Chapter 7. TEMPERATURE MANAGEMENT GUIDELINES IN ACUTE BRAIN INJURY

Knowledge Check

Chapter 8. ENDOCRINE GUIDELINES

Adrenal Insufficiency

Diabetes Mellitus: Type 1

Diabetes Mellitus: Type 2

Diabetic Ketoacidosis

Hyperglycemic Hyperosmolar State

Metabolic Syndrome

Pheochromocytoma

Prediabetes

Thyroid Disorder: Euthyroid Sick Syndrome

Thyroid Disorder: Hyperthyroidism

Thyroid Disorder: Hypothyroidism

Thyroid Disorder: Myxedema Coma

Thyroid Disorder: Thyroid Storm

Knowledge Check

Chapter 9. PSYCHIATRIC GUIDELINES

Bipolar and Related Disorders

Major Depressive Disorder

Posttraumatic Stress Disorder

Schizophrenia

Substance Use Disorders

Psychiatric Patient Medical Clearance

Knowledge Check

Chapter 10. INFECTION GUIDELINES

Colitis: Infective

COVID-19

Encephalitis

Endocarditis: Infective

Influenza

Meningitis

Necrotizing Fasciitis

Osteomyelitis

Peritonitis

Systemic Inflammatory Response Syndrome/Bacteremia/Sepsis

Septic Arthritis

Tuberculosis

Knowledge Check

Chapter 11. PERIPHERAL VASCULAR GUIDELINES

Acute Limb Ischemia

Aortic Vessel Diseases: Aneurysms of the Aorta

Carotid Artery Disease

Peripheral Artery Disease: Lower Extremity

Peripheral Artery Disease: Upper Extremity

Peripheral Vascular Disease

Thoracic Outlet Syndrome

Chapter 12. HEMATOLOGY GUIDELINES

Anemia

Bleeding Diatheses

Coagulopathies

Deep Vein Thrombosis

Sickle Cell Crisis

Knowledge Check

Chapter 13. ONCOLOGY GUIDELINES

Brain/Central Nervous System Malignancies

Breast Cancer

Gastrointestinal Cancers: Colorectal Cancer

Gastrointestinal Cancers: Gastric Cancer

Gastrointestinal Cancers: Hepatic Cancer

Gastrointestinal Cancers: Pancreatic Cancer

Gynecologic Cancers: Cervical Cancer

Gynecologic Cancers: Endometrial/Uterine Cancer

Gynecologic Cancers: Ovarian Cancer

Head and Neck Cancers

Leukemias: Acute Leukemias

Leukemias: Chronic Leukemias

Leukemias: Myelodysplastic Syndromes

Leukemias: Myeloproliferative Neoplasms

Lung Cancer

Lymphomas: Hodgkin Lymphoma

Lymphomas: Non-Hodgkin Lymphoma

Multiple Myeloma

Sarcoma

Skin Cancer

Knowledge Check

Chapter 14. IMMUNE SYSTEM, CONNECTIVE TISSUE, AND JOINTS GUIDELINES

Back Pain

Compartment Syndrome of the Lower Leg

Joint Pain

Osteoarthritis

Rheumatoid Arthritis

Spondyloarthropathies

Systemic Lupus Erythematosus

Vasculitis: Variable Vessel

Vasculitis: Small Vessel

Vasculitis: Medium Vessel

Vasculitis: Large Vessel

Knowledge Check

Chapter 15. DERMATOLOGY GUIDELINES

Atopic Dermatitis

Cellulitis

Necrotizing Fasciitis

Seborrheic Dermatitis

Stasis Dermatitis

Knowledge Check

Chapter 16. GERIATRIC GUIDELINES

Delirium

Dementia

Falls

Urvce

Knowledge Check

Chapter 17. TRAUMA GUIDELINES

Chest Trauma

Penetrating Chest Injuries

Penetrating Intracranial Injuries

Shock

Spinal Cord Injuries

Traumatic Brain Injury

SECTION II: PERIOPERATIVE CONSIDERATIONS

Chapter 18. PREOPERATIVE EVALUATION AND MANAGEMENT

Scope of Chapter

Considerations

Care Principles

Medication Management

Chapter 19. PERIOPERATIVE AND INTRAOPERATIVE MANAGEMENT

Scope of Chapter

Considerations

Care Principles

Medication Management

Chapter 20. POSTOPERATIVE EVALUATION AND MANAGEMENT

Scope of Chapter

Outcomes

Wound Management

Medication Management

SECTION III: PROCEDURES

Ankle Brachial Index

Measurement

Arterial Lines

Bone Marrow Aspiration and Biopsy

Bronchoscopy

Central Venous Access

Chest Tube Insertion

Chest Tube Removal

Digital Nerve Blocks

Extracorporeal Membrane Oxygenation

Endotracheal Intubation

Endotracheal Extubation

External Ventricular Drain

Intraosseous Vascular Access

Long Leg Casting

Lumbar Puncture

Peripherally Inserted Central Catheter Placement

Reduction of the Ankles

Reduction of the Fingers

Reduction of the Hips

Reduction of the Patella

Reduction of the Shoulder

Splinting

Synovial Fluid Aspiration

Thoracentesis

Transpyloric Feeding Tube Placement

SECTION IV: SPECIAL TOPICS

End-of-Life Considerations

Palliative Care

Health Prevention and Screening

Hemodynamic Monitoring Devices

Telemedicine in Acute Care

Transitional Care

Acute Care Billing

Appendix A: Case Scenarios Answer Key

Appendix B: Normal Laboratory Values

Index

Authors

Catherine Harris, PhD, MBA, AGACNP, is an associate professor of graduate programs and faculty in the Acute Care Nurse Practitioner Program at Thomas Jefferson University in Philadelphia. She earned her PhD in nursing at the University of Pennsylvania and an MBA from Drexel University before becoming credentialed as an acute care nurse practitioner at Thomas Jefferson University in Philadelphia. Dr. Harris specializes in neurocritical care, having presented extensively on ischemic and hemorrhagic stroke. She has been a mentee for the Fellows of the American Association of Nurse Practitioners Mentorship Program and has won numerous research grants in neurocritical care and global health.

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